JUSTIN RAY TRAVIS (NPI# 1295177152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295177152 |
| Entity Type | Individual |
| Full Name | JUSTIN RAY TRAVIS |
| Credential | O.D. |
| Practice Address |
1748 Broadway St Paducah KY 42001-2706 |
| Practice Telephone | 2704439955 |
| Practice Fax Number | 2704421469 |
| Mailing Telephone | 2704439955 |
| Enumeration Date | 2013-07-20 |
| Last Update Date | 2019-09-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2138DT | KY | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 2001-IOD1 | WV | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3709 Teays Valley Rd, Hurricane, WV 255269645 | 3047572533 | 3047572534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760644983 | Justin Thomas Travis | Physical Therapist | 2624 Ring Rd, Suite 101, Elizabethtown, KY 42701-9118 | 2008-06-29 |
| Street Address |
1748 BROADWAY ST |
| City | PADUCAH |
| State | KY |
| Zip Code | 42001-2706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225002090 | Kenneth B Grogan | Optometrist | 1748 Broadway St, Paducah, KY 42001-2706 | 2006-02-16 |
| 1407300718 | Chelsey Johnson Hawks | Optometrist | 1748 Broadway St, Paducah, KY 42001-2706 | 2016-08-04 |
| 1336420082 | Eyecare Associates of Kentucky, Psc | Ophthalmology | 1748 Broadway St, Paducah, KY 42001-2706 | 2011-09-07 |
| 1780881524 | Clarkson Optometry Midwest Inc. | Optometrist | 1748 Broadway St, Paducah, KY 42001-2706 | 2007-06-27 |
| 1194790352 | David N Tucker | Optometrist | 1748 Broadway St, Paducah, KY 42001-2706 | 2006-02-21 |
| 1831164599 | Mark L Owens | Optometrist | 1748 Broadway St, Paducah, KY 42001-2706 | 2006-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811512957 | Kelsey Brooks Powell | Dentist | 467 Jordan Drive, Suite A, Paducah, KY 42001 | 2020-06-15 |
| 1689236473 | Heath Bryan Coleman Dds of Kentucky Pllc | Dentist | 467 Jordan Dr, Ste 105, Paducah, KY 42001 | 2019-07-02 |
| 1477079333 | Ellen Louise Erwin | Speech-Language Pathologist | 5050b Village Square Drive, Paducah, KY 42001 | 2017-08-22 |
| 1225571391 | Jackie Powers | Counselor | 725 Broadway, Paducah, KY 42001 | 2016-11-22 |
| 1730544388 | Jackie Doublin | Counselor | 4625 Falconcrest Dr., Suite A, Paducah, KY 42001 | 2015-12-28 |
| 1861876997 | Adio Chiropractic Inc | Chiropractor | 2405 Lone Oak Rd, Suite B, Paducah, KY 42001 | 2015-07-18 |
| 1134530546 | Katherine Williamson | Obstetrics & Gynecology | 3927 Primrose Place, Paducah, KY 42001 | 2014-05-20 |
| 1679991061 | Kimberly Faith Wiggins | Social Worker | 425 Broadawy, Paducah, KY 42001 | 2014-04-02 |
| 1013251131 | Rxk Pharmacy | Pharmacy | 3526 Park Plaza Road, Paducah, KY 42001 | 2012-11-15 |
| 1134480098 | William Devin Hinson | Chiropractor | 2405 Lone Oak Road, Suite B, Paducah, KY 42001 | 2012-06-06 |
| Find all providers in zip 42001 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508255464 | Four Rivers Vision Therapy, Pllc | Optometrist | 4570 Pecan Dr, Suite C, Paducah, KY 42001-6717 | 2015-01-15 |
| 1578972113 | West End Eye Care, Ltd. | Optometrist | 4570 Pecan Dr Ste C, Paducah, KY 42001-6752 | 2014-08-07 |
| 1811242787 | Levi Christopher Mansfield | Optometrist | 4630 Village Square Dr Ste 201, Paducah, KY 42001-7502 | 2012-07-17 |
| 1487887428 | Daniel R. Quinlan O D | Optometrist | 609 Broadway St, Paducah, KY 42001-6869 | 2009-08-25 |
| 1932224755 | Steven D. Gamblin | Optometrist | 5101 Hinkleville Rd, Suite 490, Paducah, KY 42001-9049 | 2007-03-20 |
| 1922135524 | Anita Akin Lentz | Optometrist | 2302 Kentucky Ave, Paducah, KY 42003-3244 | 2007-02-28 |
| 1669517959 | Monte E Wright | Optometrist | 2408 New Holt Rd, Paducah, KY 42001-7455 | 2007-02-21 |
| 1851435366 | Daniel Robert Quinlan | Optometrist | 609 Broadway, Paducah, KY 42002 | 2007-02-16 |
| 1255496170 | Fred Klutts Jr. | Optometrist | 3910 Hinkleville Rd, Paducah, KY 42001-9017 | 2006-12-22 |
| 1295814564 | Daniel W Newberry | Optometrist | 60 Lakeview Dr, Paducah, KY 42001 | 2006-11-06 |
| Find all providers in PADUCAH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.